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Medicare

New deadline of Dec. 13 to update APM Incentive billing info

Is your office among the clinicians that need to verify Medicare billing information by Dec. 13 in order to receive payments? The Centers for Medicare & Medicaid Services (CMS) Quality Payment Program website includes 2020 Alternative Payment Model (APM) Incentive Payment details. To access information on the incentive amount and organization paid, clinicians and surrogates can log in to the QPP website using their HARP credentials. Many eligible clinicians who were Qualifying APM Participants (QPs) based on their 2018 performance began receiving their 2020 5% APM Incentive Payments last month. If you have already received your payment, you do not need to do anything. CMS also posted a new 2020 APM Incentive Payment Fact Sheet to explain: Who is eligible to receive an APM incentive payment in 2020 How CMS determines your 2020 APM… . . . read more.

CMS ANNOUNCES NEW TERMS

You have more time to start COVID-19 Medicare loan repayments

The Centers for Medicare & Medicaid Services (CMS) has announced amended terms for payments issued under the Accelerated and Advance Payment (AAP) Program.  This Medicare loan program allows CMS to make advance payments to providers and are typically used in emergency situations.  Under the Continuing Appropriations Act, 2021 and Other Extensions Act repayment will now begin one year from the issuance date of each provider or supplier’s accelerated or advance payment.  CMS issued $106 billion in payments to providers and suppliers in order to alleviate the financial burden healthcare providers faced while experiencing cash flow issues in the early stages of combating the coronavirus disease 2019 (COVID-19) Public Health Emergency (PHE). “In the throes of an unprecedented pandemic, providers and suppliers on the frontlines needed a lifeline to help keep them… . . . read more.

BILLING & COLLECTIONS

Retaining patients as insurance landscape shifts

By Kerri Lenderman bio Walmart’s July announcement that they plan to start selling Medicare insurance should have resonated with America’s physicians as more than an interesting headline to interrupt a summer of coronavirus news.  Indeed, it should be a wakeup call and a reminder that unsettling and unconventional forces with deep pockets and consumer brand loyalty are forming a tsunami of disruption in how insurance will be marketed and influenced for years to come. Competition for Medicare market share has always been steep.  Historically it manifested in the form of aggressive health plan marketing campaigns from insurers and brokers, all trying to lock in Medicare eligibles – especially people approaching age 65.  Selecting a plan is overwhelming with dozens of plan options to choose from in a given market, including… . . . read more.

CMS UPDATES

Tell your patients about the new eMedicare app launched this year

Today, the Centers for Medicare & Medicaid Services (CMS) launched a new app that gives consumers a modernized Medicare experience with direct access on a mobile device to…


. . . read more

MIPS

You have less than one month to submit MIPS Year 2 (2018) Data for the Quality Payment Program

The Centers for Medicare & Medicaid Services (CMS) has officially opened the data submission period for…


. . . read more

TELEHEALTH

CY 2019 List of Medicare Telehealth Services

Why you need this tool:

Has your practice recently implemented telehealth? If so, you might not know which CPT codes are available for reimbursement.


. . . download here

MULTIPLE INSURANCE COVERAGES

How to determine the order of multiple insurance coverages

By Ranadene (Randi) K. Tapio, MBA, CMRS, CMC, Guest Contributor  bio
When patients have multiple insurance coverage, at times it can be difficult to determine which one is primary, secondary, and tertiary. Sometimes, the patients don’t even know…


. . . read more

2019 PHYSICIAN FEE SCHEDULE AND QPP

CMS finalizes changes to the Medicare Physician Fee Schedule and Quality Payment Program

Last week, the Centers for Medicare & Medicaid Services (CMS) finalized proposals that it says will address provider burnout and provide clinicians immediate relief from…


. . . read more

HEALTH CARE REFORM

CMS proposes changes to modernize Medicare and aid the doctor-patient relationship

The Centers for Medicare & Medicaid Services (CMS) has proposed changes that would increase the amount of time that doctors and other clinicians can spend with…


. . . read more

PATIENT CARE

Physicians lack time and tools to discover hidden risks in patients with chronic conditions

The vast majority of primary care physicians don’t have the time or tools to adequately address the needs of their patients with multiple chronic conditions, leaving some patients to…


. . . read more


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